UWSA2 Exam with complete solutions
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What murmur is characterized by a low-pitch, mid diastolic heard at the apex? What is
the MCC? - CORRECT ANSWER-Mitral stenosis, RF
Alcoholic has ataxia and a postural tremor. Where is the lesion? - CORRECT
ANSWER-Cerebellum
What is the difference between presentation of bleeding Mekels vs Intusseption? -
CORRECT ANSWER-Pain involved with intussusception
In a curve that shows sensitivity vs 1-specificity, what is the measurement of accuracy?
- CORRECT ANSWER-Area under the curve. So higher curve=more area=more
accurate
What immunosuppresvie drugs can cause nephrotoxicity? - CORRECT ANSWER-
Tacrolimus and cyclosporin
What is a contraindication to meticlopramide use? - CORRECT ANSWER-Parkinson's
disease
In ischemia of the lower limb what would accumulate outside the cell? - CORRECT
ANSWER-Potassium because the membrane would break down and it would flow down
the concentration gradient
Immunohistochemistry of a rat kidney shows a black region of protein. What is it? -
CORRECT ANSWER-Renin because this is the JGA
What does the ethanol shake test test? - CORRECT ANSWER-Surfactant levels, if high
they should produce a ring of foam
Pt has dyspnea and can't function well but doesn't want to quit smoking. What do you
tell him? - CORRECT ANSWER-"you enjoy smoking, but you also want to breathe
better"
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Which part of the jugular venous tracing disappears in a-fib? - CORRECT ANSWER-
The first peak which is atrial contraction
What cells form the nodules in cirrhosis? - CORRECT ANSWER-Hepatocytes
Pt returns from a field study and develops a rash that is described as streaky, raised
erythematous spots. What is it? - CORRECT ANSWER-Hypersensitivity due to
something like poison ivy
Pt has a head trauma and is on a ventilator. pH is 7.54, PaO2 is 124, PaCO2 is 20,
bicarb is 17. What else should you see? - CORRECT ANSWER-High urine pH because
renal compensation to the respiratory alk
What is the function of cyclosporine/tacrilumus? - CORRECT ANSWER-Inhibits IL-2
transcription
what is responsible for tarditive dyschonizia? - CORRECT ANSWER-Upregulation of D2
receptors due to long term blockade
What drug is used for weight loss and prevents breakdown of fat in the intestines? -
CORRECT ANSWER-Orlistat
What does Jones Methenamine silver stain show on renal bx? - CORRECT ANSWER-
Membrane infiltration so membranous glomerularnephritis
Old lady hasn't left home in 4 weeks after fall on icy sidewalk. Has dermatitis on her
extremities that is dry and cracked. What is recommended to treat and what is going
on? - CORRECT ANSWER-This is xerosis or "winter itch" due to the dry air of the
house heater. She needs to apply lotion after showering to fix it
What is a 7 transmembrane helical domain receptor? - CORRECT ANSWER-G-protien
What makes up the Neurofibromas (skin colored nodules) in NF1? - CORRECT
ANSWER-Over proliferation of schwann cells
HIV pt has CD4 of 360 and now has viable, inflamed mucosa in rectum and sigmoid
which shows collections of neutrophils in the crypts. What is it? - CORRECT ANSWER-
UC
What is the process that causes premature menopause? - CORRECT ANSWER-
apoptosis of follicles
What is the purpose of adding pacitaxol to a stent? - CORRECT ANSWER-prevent
intimal hyperplasia by arresting cell cycle in the M phase
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